1715 Taconite TrINSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
SITE ADDRESS:
1 ! 1f, 1Aj UNI
1,1 1 1.1tWAY
APPLICANT:
PERMIT SUBTYPE:
TYPE OF WORK:
INSPECTION TYPE .DATE INSPTR. INSPECTION TYPE DATE INSPTR.
14 i'.NAU1("-, }": ti f'1 tti' fit NZ itYAH 1'1 I
4.'Y. .i: .. v.•. r..::B Ste. ?... .: ?:?. .?'... .. & - -
i.:.,.i:3?.:
a'' L!
Mir
Permit No. Permit Holder Date Telephone #
ELECTRIC
PLUMBING /Z 5 3-
HVAC N 6 a
Inspection Date Insp. CoMments
FOOTINGS -3
(
FOUND ?9s ne,
FRAMING 7
7
ROOFING
ROUGH
PLUMBING 7
G1_
PLBG
AIR TEST
?r-
ROUGH
HEATING
?'
-
GAS SVC
TEST
INSUL
GYP BOARD
FIREPLACE
FIREPLACE
AIR TEST
FINAL PLBG -Z3 7s
FINAL HTG
ORSAT
TEST
BLDG FINAL iy
BSMT R.I.
BSMT FINAL
DECK FTG
DECK FINAL
Address 1715 TAGMTE TRAIL Zip 55122
Lot 6 Blk I Sub nEmmwrt
THESE ITEMS WERE / WERE NOT COMPLETE AT THE TIME OF THE FINAL INSPECTION.
Date: sa3 Yes No Inspector:_
Final grade (6" from siding)
Permanent steps (garage)
Permanent steps (main entry)
Permanent driveway
Permanent gas
Sod/Seeded grass
Trail/curb damage
Porch
Basement finish
Deck
Please verify with the builder the removal of roof test caps from the plumbing system and the shutoff of water supply to
the outside lawn faucet before freeze potential exists.
Contact engineering division at 681-4645 before working in right-of-way or installing underground sprinkler system.
White - City Copy Yellow - Resident Copy Pink - Contractor Copy
Requ sl Date
of Fire No. R ugh-In Inspection Required
(You u curInspeclor when ready) Inspection Other Than Rough-In
Ready Z ill Notify Inspector
/J Yes ? No Date Reetly
I licensed contractor 0 owner hereby request inspection of above electrical work at:
Jo Address (Street, Box or Route No.)) city
/
Section No. Township Name or No. Range No. C t /l
Occupant(PRI T) Phone No.
)kj
Power Sapp lior/ Address
Elech cal Contractor (Co any Name) ]- Contractor's L,cens. No.
?
Melling Address (Contractor or Owner Making Installation
Authorized S' azure contractor/Owner Making Installation) Phone Number
d4-r ? d- 3?
MINNESOTA STATE BOARD OP ELECTRICITY THIS INSPECTION REQUEST WILL NOT
Griggs-Midway Bldg. - Room 5-128 BE ACCEPTED BY THE STATE BOARD
1821 Univemity Ave., St. Paul, MN 55104 UNLESS PROPER INSPECTION FEE IS
Phone (6121642-0800 ENCLOSED.
??/ S? REQUEST FOR ELECTRICAL INSPECTION jr`QQQ, Nl? q, 'EB-00001-09
/J/ 1>/?15 See instructions for completing this form on back of yellow copy. ?/i `-2 g S- 5
7/J' / y` _ -, "X" Below Work Covered by This Request !„•,`,. pr-
Ne Add Rep. Type of Building Appliances Wired Equipment Wired
Home Range Temporary Service
Duplex Water Heater Electric Heatin
Apt. Building Dryer Load Management
Comm./Industrial Furnace Other (Specify)
Farm Air Conditioner
Other (speady) Contractor's Remarks'.
Compute Inspection Fee Below:
# Other Fee # Service Entrance Size fee # Circuits/Feeders Fee
Swimming Pool 0 to 200 Amps 0 to 100 Amps
Transformers Above 200 Amps a 100 -Amps
Signs Inspector's use only. - TOT
Irrigation Booms ? OG VQ?C?Y
Special Inspection
Alarm/Communication THIS INSTALLATION MAY BE ORDERED DISCONNECTED IF NOT
Other Fee COMPLETED WITHIN 18 MO
I, the Electrical Inspector, hereby Rough-in Date,/ / q_QJ
O-
certify that the above inspection has
been made. Finai oat
•a•ff•
OFFICE USE ONLY
This request void 18 months from
LOT BL
SUBD.
CITY USE ONLY
PERMIT #: _
RECEIPT #:
RECEIPT DATE:
25760 MECHMICAL PUMIT (RUIDENnAL)
CITY OF EA6RN k'
3830 PILOT KNOB RD i
EAeM MN 551 E2
651-6$1-4675 I _
Date: C' -- - -- __-_..-?
Complete this section only if you are installing HVAC in a single-family dwelling, townhome or condo under
construction and not owner/occupied.
• HVAC: 0-100 M B T U $ 30.00
ADDITIONAL 50 M BTU 6.00
• Gas outlets (minimum of one required @ $3.00 ea.)
State Surcharge .50
Total $
Complete this section only if you are remodeling, adding to, or replacing an existing single-family dwelling,
townhome, or condo. Please indicate if it is a new item, alteration, or replacement.
New - Replacement - Other
_ Furnace
Air exchanger
Air conditioning
Other
Fee $ 30.00
State Surcharge .50
Total $ 30.50
Reminder: Call for final inspection.
SITE ADDRESS: 1715 T?r?r
OWNERNAME: -( ?1'm
INSTALLER NAME:
STREET ADDRESS: ? ?y I
CITY: I 1 /,(N r ' (-!,(, pld
`f83177
PHONE #: W--b V?- W? ]/ r?7
( A
PH( N$ DE) - L84- 1 /'7, 1
R (AREA CODE)
CITY USE ONLY
L BL
SUED.
APPROVED BY: INSPECTOR
PERMITM
RECEIPT#:
RECEIPT DATE:
2000 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3650 PILOT KNOB RD
EAGAN, MN 55122
651-661-4675
Please complete for: all commercialrndustrial buildings
ulti-family buildings when separate permits are n required for each dwelling unit
DATE:
WORK TYPE: Ne onstruc
Interio prc
Processe ip
When installing/removing underground
plumbing inspector.
Description of work:
Fees: 1% of contract price OR $30.00 mini
Underground tank removaUinstalla
Contract price: $ 7$-
TOTAL ADDRESS:
SITE State surcharge
OWNER'
TENANT
WAS THV
Fee)
at $.50 for each $1,000 Base Fee
Z . c 1 t CYO 6 (I PHONE #:
,'M/
E((-, ROVEMENTS ONLY): (AREA
A PREVIOUS TENANT IN THIS SPACE? _ Y _ N. NAME: _
t?DRESS:PHONE #: qE - -
/ I/ (AREA CODE)
CITY: 4a-411 I/? t d IU 2 STATE: Mkj_ ZIP:
Install U.G. Tank
Remove U.G. Tank
call,651-681-4675 for inspection by fire marshal and
um fee, which er is greater.
= minimum fee
SIGNATURE OF PERMITTEE
CITY OF EAGAN
3830 Pilot Knob Road
Eagan, Minnesota 55122-1897
(612) 681-4675
PERMIT TYPE:
Permit Number:
Date Issued:
6koJWTS7
3 - 244-
BUILDING
025284
03/29/95
SITE ADDRESS:
1715 TACONITE TR
LOT: 6 BLOCK: 1
DEERHAWK
P.I.N.: 10-19910-060-01
DESCRIPTION:
Building-Permit Type
Building W6-rk Type
j UBC Occupancy
Construction Type
Zoning
Building Length
Building Width
Building stories
Square Feet
,d
REMARKS:
S & W PLBR - GENZ RYAN PLBG
SF DWG
NEW
R-3 M-1
V=M
R-1
48
48
1
1,647
FEE SUMMARY,
VALUATION
Base Fee
Plan Review
Surcharge
SAC
SAC %
SAC Units
Subtotal
$617.00
$401.05
$47.50
$850.00
100
1
$1,915.55
$95,000
MISCELLANEOUS $1,892.50
Total Fee $3,808.05
CONTRACTOR: - Applicant - ST. LIC. OWNER:
WAGNER HOMES INC 19532211 0002106 WAGNER HOMES INC
14420 GLENDA DR 14420 GLENDA DR
APPLE VALLEY MN 55124 APPLE VALLEY MN 55124
(612) 953-2211 (612)953-2211
I hereby acknowledge that I have read this application and state that the
information is correct and agree to comply with all applicable State of Mn.
L_ Statutes and City of Eagan ordinances.
S
APPLICANT/ TEE SIGNATURE i ISSUED SIGNATURE
PERMIT
INSPECTION RECORD
CITY OF EAGAN PERMIT TYPE:
3830 Pilot Knob Road Permit Number:
Eagan, Minnesota 55122-1897 Date Issued:
(612) 681-4675
BUILDING
025284
03/29/95
SITE ADDRESS:
APPLICANT:
LOT: 6 BLOCK: 1
1715 TACONITE TR WAGNER HOMES INC
DEERHAWK (612) 953-2211
PERMIT SUBTYPE: TYPE OF WORK:
SF DWG NEW
INSPECTION TYPE
FOOTINGS ,DATE INSPTR. INSPECTION
FOUNDATION DATE INSPTR.
FRAMING ROOFING
INSULATION FIREPLACE
ROUGH IN PLBG ROUGH IN HTG
FINAL PLBG FINAL
REMARKS: S & W PLBR - GENZ RYAN PLBG
7
CITY OF EAGAN -$3)1 oI • v
3830 PILOT KNOB RD - 55122
19114,995 BUILDING PERMIT APPLICATION (RESIDENTIAL) CA
681-4675
? 3 registered site surveys ? 2 copies of plan
? 2 copies of plans (include beam & window sizes; poured fnd. design; etc.) ? 2 site surveys (exterior additions & decks)
? 1 energy calculations ? t energy calculations for heated additions
? 3 copies of tree preservation plan if lot platted after 7/1/93
required: _ Yes _ No
DATE: .3-- aZ 2 - 9 6- CONSTRUCTION COST:
DESCRIPTION OF WORK:
STREET ADDRESS: 1? 1. 5 --t-- l (,cA:k I
LOT 6 BLOCK r SUBD./P.I.D. #:
4b IJ/nmv
PROPERTY Name: Phone #:
OWNER
Street Address-
City. State: Zip:
CONTRACTOR Company: &)Oa 22were I-10r4e_5 AC
T Phone M 953-a ;Z R j
Street Address: (
4120 C-lei7e-l4 & License #: a ! D ?
City: ?ODbf V State: In /d Zip- 5,51
ARCHITECT/ Company: ?7l lr/Gc iDS 01aC e7,V1,;7 Phone # y 3a - 26y?/
ENGINEER
Name: ?1'/? Registration #
Street Address;Z'L 7Sb GCS ?Q \C/ NC _
City: 21?DDIe, I)a Mel/ ? State:
1, f /VA Zip: /a
Sewer & water//icensed plumber: $ LTe, (y Z RVOAn Penalty applies when address change and lot
change are requested once permit is issued.
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all
applicable State of Minnesota Statutes and City of Eagan Ordinances.
Signature of Applicant:
OFFICE USE ONLY / LW EVE
Certificates of Survey Received Yes No 3
/ 1995
Tree Preservation Plan Received Yes ?! No
OFFICE USE ONLY
BUILDING PERMIT TYPE
? 01 Foundation ? 06 Duplex ? 11 Apt./Lodging ? 16 Basement Finish
A 02 SF Dwelling ? 07 4-plex ? 12 Multi Repair/Rem. ? 17 Swim Pool
? 03 SF Addition ? 08 8-plex ? 13 Garage/Accessory ? 20 Public Facility
? 04 SF Porch ? 09 12-plex ? 14 Fireplace ? 21 Miscellaneous
? 05 SF Misc. ? 10 = plex ? 15 Deck
WORK TYPE
ONC31 New ? 33 Alterations ? 36 Move
? 32 Addition ? 34 Repair ? 37 Demolition
GENERAL INFORMATION
Const. (Actual)
(Allowable)
UBC Occupancy
Zoning
# of Stories
Length
Depth
0»:101171cl
Planning
?-M Basement sq. ft. //oVQ MC/WS System
At W Main level sq. ft. 1,070 City Water
?L-i sq. ft. Fire Sprinklered
2 - / sq. ft. PRV
/ -//j s r sq. ft. Booster Pump
le e, sq. ft. Census Code. !o/
1/5 Footprint sq. ft. / by7 SAC Code ?i
Census Bldg !
Census Unit
Building Engineering Variance
Permit Fee
Surcharge
Plan Review
License
MC/WS SAC
City SAC
Water Conn.
Water Meter
Acct. Deposit
SAN Permit
S/W Surcharge
Treatment PI.
Road Unit
Park Ded.
Trails Ded.
Other
Copies
Total:
% SAC
SAC Units
Valuation: $
2v X`'+'O ° ID yO
e4./X s b
a r/•$,K /°,f ' A?
1?07ffi K?=
gs, boo
SIS, 212
- f--=t --
zfnX/ 1,o?Kof^r21?,ooo
i o
?FH4Ni>, ?`__
r
ZZx L? = S7Z
S X
8, 9yy?
CERTIFICATE OF SURVEY_
Legal Description:
(3Q¢-152) DENOTES EXISTING ELEVATION
(1067.4) DENOTES PROPOSED ELEVATION
-- INDICATES DIRECTION OF SURFACE DRAINAGE
_3,2671 = FINISHED GARAGE FLOOR ELEVATION
99&•6b = BASEMENT FLOOR ELEVATION
*6.04 = TOP OF FOUNDATION ELEVATION
ADDRESS ; / 715 XW Vile 7X411
SCALE : V - 30' SW- AW AT 149ZW E4•T/oN
BG0.'A'f(96C®L,P99t7 447 LJ?wa??
OF
_ iNY = a69.9r
?T
69° G..L? I -?
??? b7 'mac gS.oD ?1,-y)
-? y In
UTILITY EASEOErYT
LOT s
s ?I 19r1T a? 897,} • Lo
I q- a, 2
Ob N M
4i
I USE CA
9647
E 617N4 8.00 ?j, - J ?•?
6AaA6E /9oi'7, J, G
30FT. FRONT ! ?\ N 6?+RA E q G AN
SET RACL
tN ®I5 0 26.33 bo.o7 N £ O
?903y P1NB°9o4t% /?03? y0?7 ?,Z? /A0°893.16 REV
5 (yos 4? 5
s _ J Sr
f-r
?o?'? w-x- - -640-- ? h ?•£, i?1
¢7 SFr•u2sR E45Eavc.V7
09Ala 5379/2
° 39, 34 E CM . ECE+^7P/C faoe 74W)
12jer&7-4W141AIS A7/bE
I hereby certify that this is a true and correct re[?Ze?i rdn?$i"?i$rs$
lan4 as shown and described hereon. As prepared by me this Z$ day of
19 ?m
9-24-W; kpgv4rev &",177m!; .4,vv l
y,e Minn. Reg. No.
R-95% 612 432 3723 03-24-95 04:04PM P002 #40
LOT SURVEY CHECKLIST FOR RESIDENTIAL
Bull
PROPERTY LEGAL=
Date of Surveys _ J/APIA
DOCUMENT STANDARDS -`
0
a
0
D
D
0
i
0
p/113
D
D ?
D 0
0
IYO 0
GI/a 0
0
l:r D n
D C9?
D d?
n
D n?
0
13
1B?' O 0
iii D D
I 0
0 H'-"0
October 12
Registered Land Surveyor signature and company
Building Permit Applicant
Legal description
Address
North arrow and bar scale
House type (rambler, walkout, split w/o, split entry,
lookout, etc.)
Directional drainage arrows with slope/gradient i.
Proposed/existing sewer and water services
Street name
Driveway
Sewer service
Lot corners
Top of curb at the driveway
Elevations of any existing adjacent homes
Proposed
• Garage floor
• First floor
• Lowest exposed elevation (walkout/window)
• Property corners
Front and rear of home at the foundation
PONDiNG AREAS (if aflolicable)
• Easement line
• NWL
• HWL
• Pond # designation
• Emergency Overflow Elevation
• Lot lines
• Right-of-way and street width (to back of curb)
• Proposed home dimensions including any proposed decks,
overhangs greater than 21, porches, etc. (i.e. all
structures requiring permanent footings)
• Show all easements of record and any City utilities within
those easements
• Setbacks of proposed structure and setback of adjacent
existing homes
XI
-- ---- -- --- --------------
_______ -- -------------- - -- --------
75
-INVj79.40 -- ?i-----??
WOODoI ?I DRIVE
K
6I
?I
?I
?I
?I
L. O
84;
81.9 FE
I ti
OFCURB
I I
I
J j
O O I
v v I
K e , N I
K ?I
ti 881.9 FE _ J
I
?J J,
4.O'
N
(toe? .
THE . OF EAGAN DOES NOT GUARANTEE
THE ACCURACY OF UTILITY LOCATIONS
AND/OR ELEVATIONS. THIS DATA IS FOR
INFORMATION PURPOSES O,:LY AND
PERSONS UCIii'G IT SHOULD VERIFY THE
INFOeR,MATION ON THE SITE.
EX. CONC. C&O
------- -
EX. B816 CONC. C&O
--------------- - --
- --- - -
I? Q
V
t V
o
I o I
?
894.0 FE I
I
I" ° ?? 5
I
Imo- C LEANOUT
115.9 FEETBACK dF
PRIVATE EA
I f
I ? ? 64.6
I i I
I? ? I
I ?
I? ? I
I? ? 6 I
h ^ hB87.8 FE
I I
SP/KE/NSOUTNFACE
OFIB"OAi" ONEFOOT
A60l1ECR0UNO
ITE
TRAIL
l
14750 Galaxie Ave. Suite 104
Apple Valley, Minnesota 55124
(612) 432-2044
EXTERIOR ENVELOPE AVERAGE "U" COMPUTATION
NAME?C?D PLAN n ER 3-I C;9
Determine working square footage of each
1. Total exposed wall.area..... 1 5 S s sq. ft. Y. .11 - 17
2. Total roof/ceiling area...... 10S(o sq.ft. X. .026 2?.4v?6
Total exposed wall area above floor = ( `1
a. Total wall window area .................. ICI 2, OZ
b. Total door area ............... 3` b
c. Total sliding glass door area........... 7(0
d. Total fireplace wall area ..............
e. Total wall framing area (average 10%)... $
f. Total net wall area above floor......... Ic7 fo
g. Total rim Joist area .................... II'S.11
I
Total exposed foundation area = I(op
i
h. Total foundation window area..........
i. Total net foundation area above grade..
Determine "U" value of each wall sepnent
a. { 12.02 x "u" ,36 = 5I , i Z-11ti
b• 3 1$ x "u" 139 = S,ya(,aZ
C. X Mull 52 =
d. X nun .68
e. Iqq.8 X "U" 096 = 1390op,
f. IOLt b X thin .043 =
7
g. I! .ZI x "u" .041 ,
= 14,(,107
h. X fluff 52 =
i. 1(0 01 X "u" 082 = 1 i
3. TOTAL .............. :... .......... ( , I?
j
If item #3 is the same as, or less than item #1, you have
met the intent of SBC 6006 (c) 2.
-1-
9
Total exposed roof/ceiling area = to S(,o
Total gross roof/ceiling area =
J. Total skylight area .................. (,p
k. Total roof/ceiling framing area....... OS. (o
1. Total net insulated roof/ceiling area. Determine "U" value for each roof/ceilinlr, segment
i . (00_ X nun sro =
' 1 CO
k. 1C''.( o - X fluff .024 = 7.5'5 4yY
1. 9414.4 X fluff .022 = Zo.011(0'b-
4. mrAL ..................... 2?', mot? t 2
If total of #4 is the same as, or less than #2, you have
met the intent of SBC C006 (c) 1. ..
To utilize the total envelope system method, the values
established by the sun of items #3 and #4 shall not be
greater than the sun of items #1 and #2.
1. + 2. _
3. + 4.
Materials Thermal resistance "R"
Exterior air........
Siditg material.....
Sheathing...........
Insulation..........
Sheetrock............
Interior air........
Studs ...............
Rim .................
i Concrete blocks......
_2_
i
CITY USE ONLY
L BL SUBD.:f0tYl?
1995 PLUMBING PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-1675
RECEIPT #:99J9gZ
DATE:
Please complete for: ? single family dwellings
? townhomes and condos when permits are required for each unit
FIXTURES EACH NO. TOTAL
Shower 3.00 x
Water Closet 3.00 x
U
Bath Tub 3.00 x / = o d
Lavatory 3.00 x
Kitchen Sink 3.00 x Z = 3 U D
Laundry Tray 3.00 x
Hot Tub/Spa 3.00 x =
Water Heater 3.00 x ?AD 0
Floor Drain 3.00 x T = 3t 2)
Gas Piping Outlet " minimum -1 3.00 x ?_ = D
Rough Openings 1.50 x =
Water Softener 5.00 x =
Private Disposal * Dakota Cty. license 20.00 =
U.G. Sprinkler * home under const. 3.00 =
Alterations * to existing 20.00 =
Water Turn Around 20.00 _(L d
STATE SURCHARGE
TOTAL
.50
3G 5 c?
SITE ADDRESS:/ 7/ S 7-A e_- dr?: 7z- ?t.-
OWNER
INSTALLER NAME: GENZ - RYAN PLUMBING & HEATING CO.
STREET ADDRESS: 14745 S. ROBERT TRAIL
CITY: ROSEMOUNT
PHONE #: ( 612 ) 423-1144
STATE:
MN
ZIP.
55068
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 PLUMBING PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: all commercial/industrial buildings.
? multi-family buildings when separate permits are not required
for each dwelling unit.
DATE: CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION ADD ON REPAIR
DESCRIPTION OF WORK:
FEE: $25.00 minimum fee or 1% of contract price, whichever is greater. State surcharge of $.50 per
$1,000 of rmit fee due on all permits.
CONTRACT PRICE x 1%
STATE SURCHARGE
TOTAL
SITE ADDRESS:
TENANT NAME:
OWNER NAME:
INSTALLER: _
ADDRESS: -
CITY:
PHONE #:
STE. #
STATE: ZIP:
SIGNATURE:
APPLICANT CITY OF EAGAN
CITY USE ONLY
39a ?
L BL/? ? RECEIPT*:
SUBD.?%no..lCri?u1P DATE:
1995 MECHANICAL PERMIT (RESIDENTIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: single family dwellings
? townhomes and condos when permits are required for each unit
New construction Add-on furnace
Add-on air conditioning Add-on air exchanger, i.e. Vanee system, etc.
Date: April 6, 1995
EM
? Minimum Fee: Add-on/Remodel (existing residence only) $ 20.00
? HVAC: 0-100 M BTU G23Q3-75 24.00
Additional 50 M BTU -4-00-
Gas Outlets (minimum of 1 required @ $3.00 each) 2 6.00
? State Surcharge .50
TOTAL $30.50
SITE ADDRESS: 1715 Taconite Trail
OWNER NAME: WAGNER HOMES INC. PHONE #: 953-2211
INSTALLER NAME: FREDRICKSON HEATING & AIR CONDITIONING, INC.
STREET ADDRESS: 3650 Kennebec Dr., #1
CITY: Eagan STATE
MN ZIP: 55122-1003
PHONE #: ( 612 ) 452-2775
pub.
CITY USE ONLY
L BL RECEIPT #:
SUBD. DATE:
1995 MECHANICAL PERMIT (COMMERCIAL)
CITY OF EAGAN
3830 PILOT KNOB RD
EAGAN, MN 55122
(612) 681-4675
Please complete for: ? all commercial/industrial buildings.
? multi-family buildings when separate permits are ngt required
for each dwelling unit.
DATE:
CONTRACT PRICE:
WORK TYPE: NEW CONSTRUCTION INTERIOR IMPROVEMENT
DESCRIPTION OF WORK:
FEES: ? $25.00 minimum fee Q 1% of contract price, whichever is greater.
? Processed piping - $25.00
State surcharge of $.50 per $1,000 of pgrnjf fee due on all permits.
CONTRACT PRICE x 1%
PROCESSED PIPING
STATE SURCHARGE
TOTAL
SITE ADDRESS:
OWNER NAME:
TENANT NAME: (IMPROVEMENTS ONLY)
INSTALLER:
ADDRESS:_
CITY:
PHONE #:
TELEPHONE #:
STATE: ZIP:.
SIGNATURE: ,A'a6"- ac
SIGNATURE OF PERMITTIEt
CITY INSPECTOR
City of Eagan
3830 Pilot Knob Road
Eagan MN 55122
Phone: (651) 675-5675
Fax: (651) 675-5694
Cc?
-----------------
Permit !Ge Wse232-05-1
#: qqPermit Fee: C/ - (/o
Date Received:
I I
I Staff: I
I
2009 RESIDENTIAL BUILDING PERMIT APPLICATION
Date: 5-3-6 5 Site Address:
Tenant:
Suite #:
RESIDENT I OWNER Phone:
Name: f , /1w-1
11
Address / City 1 Zip: /7 I If- / 2do,., JA [ !7?j2
Applicant is: _ Owner ontractor
TYPE OF WORK Description of work:
Multi-Family Building: (Yes No
Construction Cost:
CONTRACTOR ((
Name: _?QaL f ?
Ilk ,eT " a v tc2djf jLicense #:
C
Address: (045 )tAle? Ls4 ? ).
City: Lqoodaf" State: M^1_Zip: G?Zk&S
Phone: (a Q. -- 2q'Z- 5Z-41 Contact Person:
COMPLETE THIS AREA ONLY IF CONSTRUCTING A NEW BUILDING
Minnesota Rules 7672
_ Minnesota Rules 7670 Category 1
_
Energy Code . Residential Ventilation Category 1 Worksheet • New Energy Code Worksheet
Category Submitted Submitted
(4 submission type) • Energy Envelope Calculations Submitted
In the last 12 months, has the City of Eagan issued a permit for a similar plan based on a master plan?
_Yes _No If yes, date and address of master plan:
Licensed Plumber: Phone:
Mechanical Contractor: Phone:
Sewer & Water Contractor: Phone:
NOTE:. Plans and supporting' documents. that you submit are considered to be public information. Portions. of
the information may be classified at non-public if you provide specific reasons that would permit the City to
conclude that the are trade secrets. .
I hereby acknowledge that this information is complete and accurate; that the work will be in conformance with the ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is not to start without a permit; that the work will be in
accordance with the approved plan in the case of work which requires a review and afr all of plans.
x
Applicant's Printed Name Appli it's Signature
7 Page 1 of 3
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA125477
Date Issued:07/24/2014
Permit Category:ePermit
Site Address: 1715 Taconite Tr
Lot:6 Block: 1 Addition: Deerhawk
PID:10-19910-01-060
Use:
Description:
Sub Type:Reroof & Siding & Windows/Doors
Work Type:Replace
Description:
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Please print pictures of ice and water protection and house wrap and leave on site.
When installing ventilated soffit material, remove existing material (i.e. debris that could block vents) and take steps to
ensure maximum ventilation to attic. Call for final inspection after installation.
Valuation: 12,000.00
Fee Summary:BL - Base Fee $12K $221.25 0801.4085
Surcharge - Based on Valuation $12K $6.00 9001.2195
$227.25 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Moot
1715 Taconite Tr
Eagan MN 55122--174
Sela Roofing Remodeling
4100 Excelsior Blvd
St. Louis Park MN 55416
(612) 823-8046
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Building
Permit Number:EA126534
Date Issued:08/28/2014
Permit Category:ePermit
Site Address: 1715 Taconite Tr
Lot:6 Block: 1 Addition: Deerhawk
PID:10-19910-01-060
Use:
Description:
Sub Type:Windows/Doors
Work Type:Replace
Description:One Window/Door
Census Code:434 -
Zoning:
Square Feet:0
Occupancy:
Construction Type:
Comments:Improvements to the home require smoke detectors in all bedrooms. If altering window openings or installing Bay or Bow
windows, call for framing inspection. Call for final inspection after installation.
Carbon monoxide detectors are required by law in ALL single family homes .
Valuation: 500.00
Fee Summary:BL - Base Fee $500 $40.00 0801.4085
Surcharge - Based on Valuation $500 $0.50 9001.2195
$40.50 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Moot
1715 Taconite Tr
Eagan MN 55122--174
(320) 761-1672
Crew2 Inc
2650 Minnehaha Ave
Suite 100
Minneapolis MN 55406
(612) 276-1680
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA168317
Date Issued:04/16/2021
Permit Category:ePermit
Site Address: 1715 Taconite Tr
Lot:6 Block: 1 Addition: Deerhawk
PID:10-19910-01-060
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Standard Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Timothy J Moot
1715 Taconite Trl
Eagan MN 55122--174
(320) 761-1672
Champion Plumbing
3670 Dodd Rd., #100
Eagan MN 55123
(651) 365-1340
Applicant/Permitee: Signature Issued By: Signature